National Data for Monitoring and Evaluating Racial and Ethnic Health Inequities: Where Do We Go From Here?

2006 ◽  
Vol 33 (4) ◽  
pp. 470-487 ◽  
Author(s):  
Derek M. Griffith ◽  
Ernest Moy ◽  
Thomas M. Reischl ◽  
Elizabeth Dayton

The elimination of racial and ethnic health inequities has become a central focus of health education and the national health agenda. The documentation of an increasing gap in life expectancy and other health outcomes suggests the need for more effective strategies to eliminate health inequities, which can be informed by better monitoring and evaluation data. Although the sophistication and volume of health data available have increased dramatically in recent years, this article examines the quality of the current data collected to achieve the goal of eliminating racial and ethnic health inequities. This article explores several key aspects of data to inform addressing inequities including terminology, the role of data, and explanations of the problem. The authors conclude with recommendations for refining data collection to facilitate the elimination of racial and ethnic health inequities and suggest how the Society for Public Health Education can become a more central figure in our national efforts

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Perkiö ◽  
R Harrison ◽  
M Grivna ◽  
D Tao ◽  
C Evashwich

Abstract Education is a key to creating solidary among the professionals who advance public health’s interdisciplinary mission. Our assumption is that if all those who work in public health shared core knowledge and the skills for interdisciplinary interaction, collaboration across disciplines, venues, and countries would be facilitated. Evaluation of education is an essential element of pedagogy to ensure quality and consistency across boundaries, as articulated by the UNESCO education standards. Our study examined the evaluation studies done by programs that educate public health professionals. We searched the peer reviewed literature published in English between 2000-2017 pertaining to the education of the public health workforce at a degree-granting level. The 2442 articles found covered ten health professions disciplines and had lead authors representing all continents. Only 86 articles focused on evaluation. The majority of the papers examined either a single course, a discipline-specific curriculum or a teaching method. No consistent methodologies could be discerned. Methods ranged from sophisticated regression analyses and trends tracked over time to descriptions of focus groups and interviews of small samples. We found that evaluations were primarily discipline-specific, lacked rigorous methodology in many instances, and that relatively few examined competencies or career expectations. The public health workforce enjoys a diversity of disciplines but must be able to come together to share diverse knowledge and skills. Evaluation is critical to achieving a workforce that is well trained in the competencies pertinent to collaboration. This study informs the pedagogical challenges that must be confronted going forward, starting with a commitment to shared core competencies and to consistent and rigorous evaluation of the education related to training public health professionals. Key messages Rigorous evaluation is not sufficiently used to enhance the quality of public health education. More frequent use of rigorous evaluation in public health education would enhance the quality of public health workforce, and enable cross-disciplinary and international collaboration for solidarity.


2019 ◽  
Vol 19 (1) ◽  
pp. 53
Author(s):  
Khairan Nisa ◽  
Joserizal Serudji ◽  
Delmi Sulastri

Quality antenatal care has a major role in reducing maternal mortality. Every effort to improve quality must also be accompanied by efforts to pay attention to factors that contribute to improving the performance of midwives in providing services. The study used a combination of quantitative approaches in 67 midwives in the Bukittinggi and qualitatively in 15 informants, of which 9 people included in-depth interview informants to coordinator midwives, head of the Public health center and staffing and 6 FGD informants to midwives on duty at the health center.The results of quantitative data analysis, factors related to the performance of midwives are incentives, motivation and workload. Motivation is the most dominant factor related to the performance of midwives. The results of qualitative data analysis, the leadership plays an important role in increasing motivation to work midwives and optimizing the role of midwives in overcoming problems related to overlapping workloads. Midwives also need to increase their participation efforts and empower pregnant women so that programs can run well and provide positive feedback for improving the health status of pregnant women. Basically antenatal services provided by midwives are in accordance with standards, but the paradigm of antenatal care for pregnant women must shift from achieving quantity to focus on quality. To improve the performance of midwives in providing antenatal care, several efforts are needed: monitoring and evaluation of the quality of antenatal care by midwives, leadership involvement in efforts to increase midwife motivation both from supervision and reward management in non-material forms. Providing equal opportunities for midwives to improve competence through training, especially training related to quality antenatal care. In addition, the provision of infrastructure at the polindes needs attention. 


2020 ◽  
Vol 11 (2) ◽  
pp. 88-95
Author(s):  
Mairead Currie

When people hear the word cancer in relation to a loved one, the wave of emotion that follows can be devastating. Due to the complexity of oncology, a suspected or confirmed diagnosis often leads to large volume of information detailing the next steps and possible options. Pets are no exception and when owners are required to make emotive decisions with limited time to deliberate, it is the responsibility of the veterinary surgeons and nurses to provide up-to-date knowledge, guiding them to make the best decision both for themselves and their pets. This article explores the prevalence of neoplasia and the role of the first-opinion practice in diagnosis and treatment of neoplasms in pets. It also looks at the recognition of paraneoplastic syndromes in cancer patients and the importance of implementing gold-standard chemotherapy protocols. Understanding key aspects of the most common neoplasms in dogs and cats and their potential treatments helps to manage owner expectation in the practice setting. However, the ability to empathise and convey the importance of quality of life is also fundamental when supporting an owner and their animal through their cancer journey.


2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 6090-6090
Author(s):  
K. K. Chan ◽  
F. A. Quereshy ◽  
W. Melnick ◽  
L. L. Siu

2019 ◽  
Vol 13 (2) ◽  
pp. 518
Author(s):  
Alexsandro Santos Crespo da Silva ◽  
Eliane Pereira Ramos ◽  
Rose Mary Rosa Costa Andrade Silva

RESUMOObjetivo: identificar o papel dos enfermeiros no processo de educação em saúde junto aos pacientes com osteossarcoma e famíliares. Método: trata-se de estudo qualitativo, descritivo, relato de caso, com a incursão empírica junto à rotina dos enfermeiros do Instituto Nacional do Câncer (INCA). Consideram-se que participaram 20 enfermeiros que possuem relação direta com a rotina de cuidados dos pacientes com osteossarcoma. Usou-se como instrumento de coleta de dados um questionário com 11 indagações objetivas. Resultados: ressalta-se que é necessário oferecer o entendimento da realidade na prática da educação em saúde na rotina dos enfermeiros do INCA. Conclusão: conclui-se que, entre os enfermeiros do INCA e os enfermos e seus familiares há a verdadeira prática da educação em saúde justamente quando se estabelece a transmissão de conhecimentos e a melhora na qualidade de vida dos jovens assistidos com osteossarcoma. Descritores: Osteossarcoma; Educação em Saúde; Enfermagem; Adolescente; Neoplasia; Enfermeiro.ABSTRACTObjective: to identify the role of nurses in the health education process among osteosarcoma and family patients. Method: this is a qualitative, descriptive study, case report, with the empirical incursion next to the routine of the nurses of the National Cancer Institute (NCI). Twenty nurses are considered to be directly related to the care routine of patients with osteosarcoma. A questionnaire with 11 objective inquiries was used as instrument of data collection. Results: it is necessary to offer the understanding of reality in the practice of health education in the routine of NCI nurses. Conclusion: it is concluded that, among the NCI nurses and the patients and their families, there is a real practice of health education, precisely when it is established the transmission of knowledge and the improvement in the quality of life of the young people assisted with osteosarcoma. Descriptors: Osteosarcoma; Health education; Nursing; Adolescent; Neoplasia; Nurse.RESUMEN Objetivo: identificar el papel de los enfermeros en el proceso de educación en salud junto a los pacientes con osteosarcoma y familiares. Método: se trata de un estudio cualitativo, descriptivo, relato de caso, con la incursión empírica junto a la rutina de los enfermeros del Instituto Nacional del Cáncer (INCA). Se considera que participaron 20 enfermeros que tienen relación directa con la rutina de atención de los pacientes con osteosarcoma. Se utilizó como instrumento de recolección de datos un cuestionario con 11 indagaciones objetivas. Resultados: se resalta que es necesario ofrecer el entendimiento de la realidad en la práctica de la educación en salud en la rutina de los enfermeros del INCA. Conclusión: se concluye que entre los enfermeros del INCA y los enfermos y sus familiares hay la verdadera práctica de la educación en salud justamente cuando se establece la transmisión de conocimientos y la mejora en la calidad de vida de los jóvenes asistidos con osteosarcoma. Descriptores: Osteosarcome; Educación en Salud; Nursing; Adolescente; Neoplasia; Enfermero.


2013 ◽  
Vol 34 (3) ◽  
pp. 21-27
Author(s):  
Md HK Talukder ◽  
R Nazneen ◽  
Md Z Hossain ◽  
N Akther ◽  
IJ Chowdury ◽  
...  

Introduction: Bangladesh is facing many challenges in health care that are similar to other developing countries. In Bangladesh standard of paramedical, nursing, pharmacy and public health education are expanding rapidly which needs to call for assessment and evaluation to be up to date in the respective fields. Study aims to assess the expansion of Nursing, Paramedical & Public health Education in Govt. & non Govt. sectors & its implication on quality of education. Methods: This was a descriptive type of cross sectional explorative study, conducted among the teachers and student of different institutes. Questionnaire was developed and a FGD was done. Then the data was analyzed. Results: At present situation, the numbers of non govt. organizations are more than govt. organizations (127 vs. 85). SWOT analyses showed the overall strength of the institutions were the scope for further improvements and the political commitments for expansion. Weaknesses lie in the lack of adequate infrastructure, suboptimal technical and laboratory facilities and teaching staffs. Opportunities were, increasing demand and provision of jobs at home and abroad. Possible threats were loss of quality services, recognition and registration of the institutes. Regarding the overall organization of the courses, 43% of the students voted as good and 100% of the teachers showed positive opinion. Regarding the teaching-learning procedure, 41% of the teachers strongly agreed about the perfect selection of the students. 48.3% teachers agreed about the adequacy of the number of teachers. 47.8% students also agreed with the competency of the teachers. Nearly one third teachers as well as students agreed about the good physical environment of the institute. About 35% and 36% of the teachers and the students respectively agreed about the transparency of the assessment systems. Conclusions: Present Bangladesh Govt. has implemented various initiatives regarding health sector reform. Proper funding, management, monitoring and evaluation can improve present situation and thus help in the development of better institutional output. DOI: http://dx.doi.org/10.3126/joim.v34i3.8912   Journal of Institute of Medicine, December, 2012; 34:21-27


Author(s):  
D. Zawieska ◽  
J. Markiewicz ◽  
M. Łuba

<p><strong>Abstract.</strong> In the community historical objects play the role of witnesses of the past history. This creates an obligation to preserve and reconstruct them for future generations. Photogrammetric methods have been applied for those purposes for many years. In the process of development of inventory documentation, the key aspects related to the selection of appropriate measuring methods for particular objects and the creation of appropriate working conditions. At present, digital measuring techniques allow developing 3D photogrammetric documentation which is particularly valuable both, for conservators of historical objects, as well as for creating virtual museums. Particular attention should be paid to the utilisation of macro photography for that purpose which allows for recreating small fragments of historical details. The objective of this paper is to present possible use of macro photography for inventory of historical patterns engraved in brick walls of one of the cellars of the Royal Castle in Warsaw (Poland); they are called engravings or house marks. The cellar walls were made of bricks (20<span class="thinspace"></span>&amp;times;<span class="thinspace"></span>10<span class="thinspace"></span>cm) on the stone foundations, where a prison was located in the 17th century. Prisoners left their drawings of signs and crests. Bricks are destroyed, some of them are moss-grown, so many engravings are hardly visible and their depths vary between 3 and 5<span class="thinspace"></span>mm. The Canon 5D Mark II camera with the 50 mm macro lens was used to inventory engravings together with the shadow-free flash, mounted on the lens and a special frame with bolts, being the photogrammetric control network. To ensure the high quality of the 3D model, a network of photographs were acquired from two different distances; they were processed with the use of SfM/MVS algorithms implemented in Agisoft PhotoScan software. The aim of this paper is to discusses the impact of selection of control points on the accuracy of the orientation process, the impact of the point cloud density on correct projection of the digital surface, the influence of the DSM resolution on details of projection of shapes and selection of orthorectification and mosaicking parameters on the accuracy of orthoimage generation.</p>


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